Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05964 | Date 28/12/2023 |
| Token No | SM/24-25/34951 31/01/2025 | Serial | 030 |
| Patient Name | Mrs. PATI BHUIYA | Contact No | 9163468094 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||